HomeMy WebLinkAbout1340 JOHN FITCH BLVD 1300039 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 01/23/2013
GIS ID:47701340 FEE: 15.00
MUNIS APPLICATION# 201300053 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: HIGH GRADE GAS SERVICE ADDRESS: 1340 JOHN FITCH BLVD
ADDRESS: 19 MIDDLE RIVER ROAD; OWNER: MAULUCCI NILA R
STAFFORD,CT 06075 ' PO BOX 185
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: INSTALL 120 GALLON TANK WITH GAS LINE. ;
SPECIAL CONDITIONS: z
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
1/23/2013 12:33 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
Revised 4/01//2002
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
Application is hereby. TOWN OF SOUTH WINDSOR 136 0 0 3�
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
D to Buildito
Application must be printed or typed
FEE SCHEDULE Location of Job:
l3YO h/u
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT S b�cs2/�L�' J C-9--
APPLICANT ADDRESS l
APPLICANT PHONE#
O W N S F,q OWNER
OWNER ADDRESS
O OWNER PHONE 3YO Qd S' 7??�
E�
C ESTIMATED COST$ Z/0009 r 0 Q
* IS THIS A CONTRACT COST? _XYes _No
G FEE ENCLOSED$ IS
TYPE OF JOB: Ct S4,1
OSOR O COS New Installation
�Alteration/Addition/Repair C261 3v C)O 53
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
❑HEATING ❑RESIDENTIAL
0 A/C 0 COMMERCIAL
0 VENTILATION 0 INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
❑HYDRONIC ❑WARM AIR ❑ UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQ IPMENT(INCLUDING &MODEL NO.)
GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH)
TYPE OF FUEL
❑OIL-GPM OIL TANK LOCATION :❑ INSIDEO OUTSIDE CAPACITY
P(GAS-INPUT LPG TANK CAPACITYZ;o / ELECTRIC-KW
AIR CONDITIONING
DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
TONNAGE COOLING CAPACITY(BTUH)
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM)
(PLANS MUST ACCOMPANY APPLICATION)
FURTHER DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT �.��� DATE - l
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR
Applicat' sere y: PERMIT#
BUILDING DEPARTMENT / L
APP 1540 SULLIVAN
ULIl N0E
Bldg..Permit#A l 23 jj-
�/,Z- ;
Ar—
Date B&Tding Inspecto r
Application must be printed or typed
FEE SCHEDULE I Location of Job:
13 7u 11 P FiiZ# a-)"t->
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS 7 d AS S` —
I APT-, �� GT- 067� J /
APPLICANT PHONE#( C) Z 6
OWN S j , OWNER d
OWNER ADDRESS Url
�a OWNER PHONE 6o I Z 9 `7 7?�
0
C ESTIMATED COST$
xi IS THIS A CONTRACT COST? Yes _No
FEE ENCLOSED$ j DD
TYPE OF JOB:
�SO R•C o _New Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
❑RESIDENTIAL BUILDING PERMIT APPLICATION? ❑YES.;tNO
)jKBUSINESS CURRENT USE AND OCCUPANCY < 7?S flA4 5 �,
El ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
O EDUCATIONAL
0 INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATIONIWIRING METHOD
SIZE OF SERVICE Z6D h M ZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
�/ / z37nG r
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE 7 6
l
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Shirley Wilhelm-CRS Approval Confirmation: Request No. 356621 Page 1
From: <clpsvc@nu.com>
To: <WILHEL@SOUTHWINDSOR.ORG>
Date: 9/15/04 11:17AM
Subject: CRS Approval Confirmation: Request No. 356621
Your approval of the following CRS Request has been successfully
processed.
CRS Work Request M 356621
House No: 1340
Lot No: ware hse
Street Name: JOHN FITCH BLVD
Town Name: SOUTH WINDSOR, CT
Inspector: CHRISTOPHER DOUGAN
Approval Date: Sep 15, 2004
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DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
�=APP �
TOWN OF SOUTH WINDSOR PERMIT#
BUILDING DEPARTMENT
1540 SULLIVAN AVENUE
Bldg. Permit#
,49i�lg
644-2511 ext. 230
Date Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
/--340 4ile- S
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT P1 '� F nn
APPLICANT ADDRESS 736 .n H, J J .
APPLICANT PHONE#
OW N SF OWNER
q� OWNER ADDRESS ' U S
►o Y OWNER PHONE
C = ESTIMATED COST$ 3
U
.� «+ IS THIS A CONTRACT C ST? Yes _No
ems✓ FEE ENCLOSED$
TYPE OF JOB:
SOR-Co _New Installation D
::/:Alteration/Addition/Repair
Revised 4/01//2002
J
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
❑RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ❑NO
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MDC?D USE
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATIO' VN//IWHUNG METHOD
SIZE OF SERVICE 100 SIZE OF MAIN CONDUCTORS
NUMBER OF METERS�_ NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS I REMOTE DISCONNECT REQUIRED? ❑YES ❑NO
NUMBER OF LIGHT CIRCUITS 3 NUMBER OF POWER CIRCUITS .J
NUMBER OF SWITCHES NUMBER OF OUTLETS 1�
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS j
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
� ECA
Uew rvv
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
on3nq-1c i C- I CT
CONTRACTORS LICENSE NO. TYPE STA
SIGNATURE OF APPLICANT DATE t'I/0-1
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
PERMIT#
Ap on is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPR 1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg.Permit#
Date ing Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 FTe�mnt
Street f Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT /VL y �/CJ��/�✓� -757
APPLICANT ADDRESS 137D �/Sli✓ ��j�,St �,��lj�
��iT/� G�i•s/�Saf' C'/ DL6��-a�B.S
APPLICANT PHONE# 07g9—7778
O W N S F,q OWNER
OWNER ADDRESS
OWNER PHONE ay- 7,77 8
C a ESTIMATED COST$
IS THIS A CONTRACT COST? _Yes _No
FEE ENCLOSED$
1� TYPE OF JOB:
dsOR CO� _New Installation a
i
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED?WITH A
El RESIDENTIAL BUILDING PERMIT APPLICATION? ® YES ElNO
{d BUSINESS CURRENT USE AND OCCUPANCY �'C f)�✓
❑ASSEMBLY
L3 MERCANTILE
❑ EDUCATIONAL FUTURE USE AND OCCUPANCY �auf �/��/ _—
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION SIZE OF MAIN DRAIN '
NO. OF TOILETS STYLE NO.URINALS 0 STYLE
NO. OF BATHTUBS 6 NO.OF SHOWERS e-) NO. OF LAVATORIES
NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE -:�e
AREA OF ROOF 940 S"'--NO.OF CATCH BASINS f"j NO. OF FLOOR DRAINS 40
NO.OF OTHER FIXTURES KIND k�9Ni T!'
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YES .E NO
SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK S �ie
SIZE OF WATER MAIN / " SIZE OF WATER PIPING&RISER
WATER HEATER: TYPE MANUFACTURER
DESCRIPTION OF WORK
a/ST//V 6- oho ',�' �o ' Or✓� �cJ� f�U�ll��n/�—
aa
7HE UNDERSIUNED HEREBY APPLIES FOR
A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT - O DATE
lelc-
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
PERMIT#
tion' � �
TOWN OF SOUTH WINDSOR
Applica y:
BUILDING DEPARTMENT
ROVED 1540 SULLIVAN AVENUE
3
Bldg.Permit#
644-2511 ext. 230
Date Bqding Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
-,o#ly lclr�l,� /V 0
$0-$1,000=$15.00 Street No. Street 7No.
.
Over,$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Ap
APPLICANT
APPLICANT ADDRESS Z O 4i9 j�
Sae- L - C� d
APPLICANT�IP/HONE# G `5 2-
O W N Se- OWNER Y G� 6GA-ND
OWNER ADDRESS 13 20 -Te/fj/ F17`L H 1 L U0
�d Sd
0 b , OWNER PHONE G 2
C ESTIMATED COST$ Q67
+r
IS THIS A CONTRACT COST? X Yes _No
FEE ENCLOSED$ �� 07—�,c S
s O�� TYPE OF JOB: OIt� �c,OG. �l�'+1/7— �3 y��— b acc�-
OR C _New Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? QLYN ES El NO
❑RESIDENTIAL i
USINESS CURRENT USE AND OCCUPANCY
0 ASSEMBLY
❑MERCANTILE
❑ EDUCATIONAL FUTURE USE AND OCCUPANCY
ElINSTITUTIONAL
❑ FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑ GARAGE ADDRESS
❑MIXED USE
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION SIZE OF MAIN DRAIN
NO.OF TOILETS STYLE NO.URINALS STYLE
NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES 2,
�� ..
NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE
AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS 1�
NO.OF OTHER FIXTURES KIND
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YES ,4 NO
SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK
SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER
WATER HEATER: TYPE MANUFACTURER
DESCRIPTION OF WORK
zc I�XT_
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK 13ESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO./ �,;�YPE STATE,
T DATE
SIGNATURE OF APPLICAN 2 2 G
C
Electric# E C E � V E I PLICATION FOR BUILDING PERMIT
Plumbing# 13N(F ,��N�it+{�, Blvd Date: '
HVAC # p1n _
Sprinkler# South Vv
FINAL APPROVALS — — _ - Estimated Cost $ �C
Building COMPLETE RED BOXED AREAS Permit Fee $ ' S
Engineering TYPE OR PRINT ONLY I EncuIns Occupancy
yFeee $
Affidavit g' p'
Affid for CO. SIGN ON REVERSE SIDE / ! ' Total Fee $
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
7
Applicant lflle4l ,t/fv^ AJ s GLocation of Work 061& / Lot No.
Applicant's Address 1-4-70 Tel.# -777
Town c-74' 6✓rim Zip l% C Lic.#
Owner a Architect
Owner's Address Architect's Address
Zip Zip-
-Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit 41 t-1 f1 YtiLe
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO SP Cert. Area Basement Garage
Approved by Date Use Group Construction Type
Revised 6/02 ����
I hereby agree to conform to all the requiremeA'rofXper
a of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspre plans or specifications of the Building f x which this
permit is asked,and agree that this buildingisstance from all street lines,side yard lines,and required
distances from all other zones and is located is use is allowed
SignedC
I hereby apply for a Certificate of Occupancy for the work descri in this application for the permit
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
P
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